Surrogate Role relevance in Nursing Practice

The surrogate role is not one that is frequently mentioned in recent nursing practice literature.  Is that role as defined by Peplau relevant to nursing practice as currently experienced.  If so, in what way.  If not, why?

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Surrogate Role relevance in Nursing Practice

Title: Relevance of the Surrogate Role in Contemporary Nursing Practice: An Analysis

Introduction: The concept of the surrogate role in nursing was initially introduced by Hildegard Peplau, a renowned nursing theorist. While there may be a lack of recent literature specifically discussing the surrogate role, it is essential to assess its relevance to contemporary nursing practice. This post aims to explore the ongoing significance of the surrogate role and its potential impact on nursing practice.

Relevance of the Surrogate Role in Contemporary Nursing Practice:

  1. Patient Advocacy and Empowerment: The surrogate role aligns with the fundamental principles of patient advocacy and empowerment, which are vital aspects of modern nursing practice. Nurses, as surrogates, act as the voice and representative of patients who may be unable to effectively communicate their needs, concerns, or preferences. By assuming the surrogate role, nurses can advocate for patients’ rights, ensure informed decision-making, and empower them to actively participate in their healthcare journey.
  2. Communication and Therapeutic Relationships: Effective communication is central to nursing practice, and the surrogate role plays a significant role in facilitating this aspect. Nurses acting as surrogates establish therapeutic relationships with patients, fostering trust and understanding. They engage in active listening, empathetic communication, and emotional support, which are crucial in addressing patients’ physical, emotional, and psychosocial needs. The surrogate role enhances communication between patients, families, and the healthcare team, promoting collaborative and patient-centered care.
  3. Continuity of Care: In the current healthcare landscape, continuity of care is a key focus for providing high-quality and efficient healthcare services. The surrogate role can contribute to ensuring continuity of care by bridging gaps between different healthcare settings or transitions. Nurses acting as surrogates can facilitate the transfer of crucial patient information, maintain care plans, and advocate for consistent care provision, thereby promoting seamless transitions and reducing adverse outcomes.
  4. Ethical Decision-making: Ethical dilemmas are a frequent occurrence in nursing practice. The surrogate role provides a framework for nurses to navigate these complex situations ethically. By understanding patients’ values, beliefs, and goals, nurses can make informed decisions while considering the best interests of their patients. The surrogate role encourages nurses to engage in ethical discussions, seek interdisciplinary collaboration, and promote shared decision-making, fostering patient autonomy and upholding ethical standards.

Conclusion: Despite the limited recent literature on the surrogate role, it remains relevant and valuable in contemporary nursing practice. The surrogate role aligns with the core principles of patient advocacy, empowerment, effective communication, continuity of care, and ethical decision-making. By assuming this role, nurses can enhance patient outcomes, promote patient-centered care, and contribute to the overall quality of healthcare delivery.

References:

  1. Peplau, H. E. (1991). Interpersonal relations in nursing: A conceptual frame of reference for psychodynamic nursing. Nursing Science Quarterly, 4(1), 13-18.
  2. Pajnkihar, M., Kiger, A., & Štiglic, G. (2019). Nurses as surrogate decision-makers: Balancing between personal values and professional commitment. Nursing Ethics, 26(7-8), 2172-2186.
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